Non artheritic bilateral anterior ischaemic optic neuropathy (NAION) as devastating complication following Total Hip Arthroplasty: a case report: Bilateral visual loss following total Hip Arthoplasty

Non artheritic bilateral anterior ischaemic optic neuropathy (NAION) as devastating complication following Total Hip Arthroplasty: a case report

Bilateral visual loss following total Hip Arthoplasty

Authors

  • Alfonso Manzotti Ospedale Luigi Sacco, Milano
  • Alice Schianchi Ospedale Luigi Sacco, Milano
  • Lucia Pace Ospedale Luigi Sacco, Milano
  • Giuliano Salvadori Ospedale Luigi Sacco, Milano
  • Alessio Biazzo Humanitas Gavazzeni, Bergamo
  • Pietro Cerveri Politecnico di Milano

Keywords:

Bilateral visus loss; total hip arthroplasty; case report

Abstract

Introduction: Postoperative vision loss (PVL) is an extremely rare complication following major surgical procedures. Patients with systemic hypertension, diabetes, coronary diseases and smokers are generally predisposed to this complication. More frequently, it is caused by ischemic optic neuropathy (ION), central retinal artery occlusion or retinal vein occlusion. Rare cases of unilateral PVL following total joint arthroplasty surgery have been recently described in literature. Case report: This case report describes the first reported bilateral non-arteritic anterior ischemic optic neuropathy (NAION), which occurred 3 days following a total hip arthroplasty with a consequent post-operative hypotension. Conclusions: Orthopedic surgeons should be aware that in hip joint replacement procedures, selected patients present an higher risk of ION following intra/postoperative hypotension and prolonged surgical times. (www.actabiomedica.it)

Downloads

Published

23-12-2019

Issue

Section

CASE REPORTS

How to Cite

1.
Manzotti A, Schianchi A, Pace L, Salvadori G, Biazzo A, Cerveri P. Non artheritic bilateral anterior ischaemic optic neuropathy (NAION) as devastating complication following Total Hip Arthroplasty: a case report: Bilateral visual loss following total Hip Arthoplasty. Acta Biomed [Internet]. 2019 Dec. 23 [cited 2024 Jul. 20];90(4):583-6. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/7704